Ganga hospital offers options for minimally invasive surgery like microsurgical discectomy for lumbar and cervical disc prolapse and lumbar microdecompression surgery. The procedure is perfomed with the use of an operating microscope which can be performed with small incision surgery. The advantages of microsurgical procedure include reduced post-operative pain, lower blood loss and shorter indoor hospital stay.
Spinal deformity correction surgery
Ganga hospital provides state of the art facilities for complex spinal deformity correction surgery. The spine unit performs over 150 spinal deformity correction surgeries annually. The department offers AIRO which is 32-slice intraoperative CT scan for navigation assisted spine surgery. This is the first facility in South Asia to offer the facility of mobile intraoperative CT based navigation system. Spinal deformity services include other modern equipment such as spinal cord neuromonitioring systems which provides enhanced safety standards during these complex surgical procedures. Cell saver technology is available which can reduce the blood loss during surgery and the need for blood transfusion following deformity correction.
Spinal injections are pain relieving techniques used for therapeutic or diagnostic purposes. They can be performed to diagnose the source of back or neck pain (diagnostic) or can be used as a treatment to relieve pain (therapeutic). Most spinal injections are performed as one part of a more comprehensive treatment program including an exercise program to improve spinal mobility and stability (strengthening exercises).
Spinal injections are performed under X-ray guidance, called fluoroscopy. This confirms correct placement of the medication and improves safety. A liquid contrast (dye) is also injected before injecting the medication. If this contrast does not flow in the correct location, the needle is repositioned and additional dye is injected until the correct flow is obtained. The medication is not injected until the correct contrast flow pattern is achieved.
Spinal cord injury rehabilitation
Annually India sees 20000 new cases of spinal cord injury. Spinal cord injury can have devastating consequences for both the individual and his or her family. Specialised treatment institutes for spinal cord injury rehabilitation are largely nonexistent in India. Ganga hospital spinal cord injury and rehabilitation centre forms one of the three specialised centres catering to the needs of the spinal cord injured. We have a separate third spinal cord injury centre in the country providing dedicated unit for treatment of spinal cord injury. The rehab centre offers 5000 sq feet indoor exercise area with all modern equipment for spinal cord injury rehabilitation. The centre has a dedicated team of 10 physiotherapist and rehabilitation physician to ensure an optimal rehabilitation program. The facility offers space of gait training, orthotic provision, wheel chair conditioning and basket ball court for physical rehabilitation.
Minimally Invasive Surgeries
Minimally invasive surgeries refer to spinal surgeries performed through small incisions with less disruption to the muscles. This can result in quicker recovery, decrease operative blood loss, and speed patient return to normal function. Not all patients are appropriate candidates for MIS procedures. The surgeon decides on the appropriate patient with the particular disease to be suitably treated through MIS technique. At Ganga hospital, minimally invasive surgeries are performed for the following conditions, herniated discs of the cervical and lumbar spine, lumbar spinal stenosis, fusion for spinal instability, cementing techniques for vertebral compression fractures and intradural tumors of the spinal cord.
Scoliosis and Deformity Surgeries
Ganga Hospital is one of the few centres in the country to perform deformity correction surgeries. Spinal deformities include scoliosis, kyphosis and their combinations. The correction of these deformities is a complex surgical procedure and needs expertise, experience and equipments. At Ganga Hospital, such deformity surgeries are being performed since 1996 by experienced surgeons ensuring the best outcomes. Approximately 200 deformity surgeries are performed every year. The ability to perform such surgeries safely needs state of the art equipments and intensive anaesthesia. The unit is ably supported by experienced anaesthetists who provide safe anaesthesia and continuous peri-operative care is provided for quicker recovery. Computer navigation system is available at Ganga hospital, since 2006 which helps in inserting screws into the vertebral bones safely. While inserting the screws and correcting the spine to straight alignment, the spinal cord is potentially at risk. Spinal cord neural monitoring is available at Ganga Hospital, that enables the surgeon to continuously check the spinal cord function during surgery
Computer Navigation System Micro Surgery
The spinal cord works as a conduit between the brain and the rest of the body by transmitting signals from and to the brain. Damage to the spinal cord disrupts this function resulting in paralysis. Complex deformity correction surgeries around the spinal cord entail a 1% risk of potential injury to the spinal cord depending on the severity of the deformity and existing neurological compromise. Previously such problems were identifiable only at the end of surgery after the patient awakens from anaesthesia. This problem has been greatly reduced by the availability of spinal monitoring system. Spinal cord monitoring systems enable immediate identification of potential injury to the spinal cord during such surgeries. They can detect even small changes in the signals during the surgery so that serious injury to the spinal cord could be prevented. At Ganga hospital, intra operative continuous neural monitoring of the spinal cord function is available and is used for deformity correction surgeries. Along with navigation system, this significantly improves the safety and accuracy of the surgery.